Endocrine Disorders. Jan Bazner-Chandler CPNP, MSN, CNS, RN. BMI.
CPNP, MSN, CNS, RN
Done to rule out other causes of delayed growth
Anatomy & Physiology: Mosby
History and Physical
Levels of T3 and T4 are increased
Levels of TSH are decreased
Shaky feeling, hunger
Glucose = low, below 60
Ketones = negative
Onset = gradual
Lethargic, confused, weak
Abdominal pain often with nausea and vomiting
Signs of dehydration
Vital signs: deep, rapid respirations, fruity acetone breath, and weak pulses
Focuses on preventing excessive accumulation of phenylalanine by restricting protein intake.
Maintain levels below 0.9 mmol/L but maintain at0.2 to allow for normal growth and tissue repair.
Aspartame or NutraSweet need to be avoided in diet.